EVERGREEN BEHAVIORAL SERVICES
NPI 1124101464
Clinic/Center - Mental Health (Including Community Mental Health Center) in Farmington, ME

NPI Status: Active since October 23, 2006

Contact Information

131 FRANKLIN HEALTH COMMONS
SUITE A MT BLUE HEALTH CENTER
FARMINGTON, ME
ZIP 04938
Phone: (207) 778-0035
Fax: (207) 778-6879

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About EVERGREEN BEHAVIORAL SERVICES

This page provides the complete NPI Profile along with additional information for Evergreen Behavioral Services, a provider established in Farmington, Maine operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1124101464 assigned on October 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 227282 (ME). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Julie Welch (Office Manager)

NPI
1124101464
Provider Name
EVERGREEN BEHAVIORAL SERVICES
Entity Type
Organization
Location Address
131 FRANKLIN HEALTH COMMONS SUITE A MT BLUE HEALTH CENTER FARMINGTON, ME 04938
Location Phone
(207) 778-0035
Location Fax
(207) 778-6879
Mailing Address
131 FRANKLIN HEALTH COMMONS SUITE A FARMINGTON, ME 04938
Mailing Phone
(207) 778-0035
Mailing Fax
(207) 778-6879
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-23-2006
Last Update Date
05-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
227282
License State
ME

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

221361 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JULIE WELCH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(207) 778-0035

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MM6270MEDICARE ID-TYPE UNSPECIFIED (04)ME 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124101464, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 0 + 2 + 4 + 1 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124101464.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
131 FRANKLIN HEALTH COMMONS, SUITE A MT BLUE HEALTH CENTER
FARMINGTON, ME 04938
Social Worker (Clinical)
131 FRANKLIN HEALTH COMMONS, SUITE A
FARMINGTON, ME 04938

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124101464, enumerated as an "organization" on October 23, 2006.

The provider is located at 131 FRANKLIN HEALTH COMMONS SUITE A MT BLUE HEALTH CENTER FARMINGTON, ME 04938 and the phone number is (207) 778-0035.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.